IndividualActive
Kimberly Edwards
NPI 1497609705 · Addiction (Substance Use Disorder) Counselor · Shirley, NY
Provider details
- NPI number
- 1497609705
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2 Coraci Blvd Ste 15&16
Shirley, NY 11967-4833
Phone: (631) 696-4357
Street-level locationGet directions
Mailing address
1377 Motor Pkwy Ste 102
Islandia, NY 11749-5249
Registry dates
- Enumerated
- 2026-02-24
- Last updated
- 2026-02-24
- Certified
- 2026-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.